Skip to main content

Advertisement

Log in

Comparison of Virtual and Fiberoptic Bronchoscopy in the Management of Airway Stenosis

  • Original Paper
  • Published:
Pathology & Oncology Research

Abstract

Noninvasive imaging methods can be valuable tools for diagnosing thoracic diseases, especially malignancies. The aim of this study was to compare the effectiveness of conventional and virtual bronchoscopy in the follow-up of patients with large airway stenosis. Twenty-three consecutive patients with stenoses of the trachea and/or the main bronchi were enrolled in this prospective observer study. The causes of stenosis included malignant or benign tumours, goiter, and postintubation stenoses. Patients were evaluated before and after treatment (which included mechanical dilation, laser photocoagulation, stent implantation, radiotherapy, chemotherapy, and surgical resection). The mean time between baseline and follow-up endoscopy was 140 days. No significant differences were observed between the estimated and measured data from bronchofibroscopy and virtual bronchoscopy. Exact measurement of stenoses was performed with virtual bronchoscopy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Neumann K, Winterer J, Kimmig M et al (2000) Real-time interactive virtual endoscopy of the tracheo-bronchial system: influence of CT imaging protocols and observer ability. Eur J Radiol 33:50–54

    Article  CAS  PubMed  Google Scholar 

  2. Hoppe H, Walder B, Sonnenschein M et al (2002) Multidetector CT virtual bronchoscopy to grade tracheobronchial stenosis. AJR Am J Roentgenol 178:1195–1200

    PubMed  Google Scholar 

  3. Liewald F, Lang G, Fleiter T et al (1998) Comparison of virtual and fiberoptic bronchoscopy. Thorac Cardiovasc Surg 46:361–364

    Article  CAS  PubMed  Google Scholar 

  4. Márk Zs, Bajzik G, Repa I et al (2001) Virtual bronchoscopy: a new non-invasive diagnostic method in pulmonology. Orv Hetil 142:565–569

    PubMed  Google Scholar 

  5. Haponik EF, Aquino SL, Vining DJ (1999) Virtual bronchoscopy. Clin Chest Med 20:201–217

    Article  CAS  PubMed  Google Scholar 

  6. Heyer CM, Nuesslein TG, Jung D et al (2007) Tracheobronchial anomalies and stenoses: detection with low-dose multidetector CT with virtual tracheobronchoscopy—comparison with flexible tracheabronchoscopy. Radiology 242:542–549

    Article  PubMed  Google Scholar 

  7. Burke AJ, Vining DJ, McGuirt WF et al (2000) Evaluation of airway obstruction using virtual endoscopy. Laryngoscope 110:23–29

    Article  CAS  PubMed  Google Scholar 

  8. Colt HG, Crawford SW, Galbraith O III (2001) Virtual reality bronchoscopy simulation: a revolution in procedural training. Chest 120:1333–1339

    Article  CAS  PubMed  Google Scholar 

  9. McAdams HP, Goodman PC, Kussin P (1998) Virtual bronchoscopy for directing transbronchial needle aspiration of hilar and mediastinal lymph nodes: a pilot study. AJR Am J Roentgenol 170:1361–1364

    CAS  PubMed  Google Scholar 

  10. Summers RM (1997) Navigational aids for real-time virtual bronchoscopy. AJR Am J Roentgenol 168:1165–1170

    CAS  PubMed  Google Scholar 

  11. Ferretti G (1999) Virtual endoscopy: which indications? Rev Mal Respir 3:59–60

    Google Scholar 

  12. Bauer TL, Steiner KV (2007) Virtual bronchoscopy: clinical applications and limitations. Surg Oncol Clin N Am 16:323–328

    Article  PubMed  Google Scholar 

  13. Summers RM, Shaw DJ, Shelhamer JH (1998) CT virtual bronchoscopy of simulated endobronchial lesions: effect of scanning, reconstruction, and display settings and potential pitfalls. AJR Am J Roentgenol 170:947–950

    CAS  PubMed  Google Scholar 

  14. Koletsis EN, Kalogeropoulu C, Prodromaki E et al (2007) Tumoral and non-tumoral trachea stenoses: evaluation with three dimensional CT and virtual bronchoscopy. J Cardiothorac Surg 2:18

    Article  PubMed  Google Scholar 

  15. Amorico MG, Drago A, Vetruccio E et al (2006) Tracheobronchial stenosis: role of virtual endoscopy in diagnosis and follow-up after therapy. Radiol Med (Torino) 111:1064–1077

    Article  CAS  Google Scholar 

  16. Ferretti GR, Kocier M, Calaque O et al (2003) Follow-up after stent insertion in the tracheobronchial tree: role of helical computed tomography in comparison with fiberoptic bronchoscopy. Eur Radiol 13:1172–1178

    CAS  PubMed  Google Scholar 

  17. Márk Zs, Bajzik G, Nagy A et al (2004) Virtual bronchoscopy for follow-up investigation of main airway stenoses. Orv Hetil 145:1233–1235

    PubMed  Google Scholar 

  18. Shitrit D, Valdsislav P, Grubstein A et al (2005) Accuracy of virtual bronchoscopy for grading tracheobronchial stenosis: correlation with pulmonary function test and fiberoptic bronchoscopy. Chest 128:3545–3550

    Article  PubMed  Google Scholar 

  19. Finkelstein SE, Schrump DS, Nguyen DM et al (2003) Comparative evaluation of super high-resolution CT scan and virtual bronchoscopy for the detection of tracheobronchial malignancies. Chest 124:1834–1840

    Article  PubMed  Google Scholar 

  20. Higgins WE, Ramaswamy K, Swift RD et al (1998) Virtual bronchoscopy for three-dimensional pulmonary image assessment: state of the art and future needs. Radiographics 18:761–778

    CAS  PubMed  Google Scholar 

  21. Wood BJ, Razavi P (2002) Virtual endoscopy: a promising new technology. Am Fam Physician 66:107–112

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zsuzsa Mark.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mark, Z., Bajzik, G., Nagy, A. et al. Comparison of Virtual and Fiberoptic Bronchoscopy in the Management of Airway Stenosis. Pathol. Oncol. Res. 14, 313–319 (2008). https://doi.org/10.1007/s12253-008-9059-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12253-008-9059-3

Keywords

Navigation